| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
571 |
441 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
784 |
442 |
$54K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
918 |
475 |
$37K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
235 |
210 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
156 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
137 |
74 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
18 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
45 |
36 |
$1K |
| 96127 |
|
104 |
93 |
$1.04 |